INDIVIDUAL
(TITLE, NAME, RELATIONSHIP)
JOINT
HOME PHONE CELL PHONE
CITY STATE ZIP
ADDRESS
NAME
THIS GIFT IS:
President’s Council Fund 32-14300
PAYMENT INFORMATION:
OSU-TULSA-PC12DM
One-time gift
Monthly
Other:
Monthly
Quarterly
Semi-Annually
(Up to 5 Years)
Annually
*GIFTS TO THE OSU FOUNDATION MAY BE TAX DEDUCTIBLE.
Matching gift form enclosed - Employer:
Please contact me about including OSU Foundation in my estate plans.
SIGNATURE
BEGINNING: ENDING:
TO BE PAID:
I PLEDGE A TOTAL OF $
SIGNATURE
NAME ON CARD
CARD NUMBER EXPIRATION DATE
CREDIT CARD:
BANK DRAFT: Necessary forms will be mailed to you upon return of this form.
CHECK: Please make checks payable to OSU Foundation.
PLEASE UPDATE YOUR INFORMATION:
HOME PHONE CELL PHONE
CITY STATE ZIP
ADDRESS
SPOUSE NAME
NAME
BUSINESS PHONE BUSINESS EMAIL
CITY STATE ZIP
BUSINESS ADDRESS
EMPLOYER TITLE
PREFERRED EMAIL